Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection while Breastfeeding
Do you know that important immune protective proteins are present in breast milk? Breast milk also contains required vitamins, minerals, saturated and un saturated fats. These things are extremely important for development of healthy brain. If you are taking any medicine for short term or for the chronic reason then that passes in breast milk as well, that is why you should always check the drug with your health care provider. Here at DrLact we try to analyze drugs based on available researches and in this sheet we will present our analysis for Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection.

What is Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection ?


Octocaine (Lidocaine and Epinephrine Injection, USP) is indicated for the production of local anesthesia for dental procedures by nerve block or infiltration techniques. Only accepted procedures for these techniques as described in standard textbooks are recommended.

Is using Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection safe or dangerous while breastfeeding?

Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection safe for breastfeeding
There are 2 main ingredients of Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection, Lidocaine hydrochloride and Epinephrine. One by one we have analyzed both Lidocaine hydrochloride and Epinephrine for its impact on breastfeeding and based on our analysis we can conclude that Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection is safe to use in breastfeeding. We recommend you to check our analysis of Lidocaine hydrochloride and Epinephrine as below.

Statement of Manufacturer/Labeler about breastfeeding usage
Nursing mothers It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when lidocaine is administered to a nursing woman.

Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection Breastfeeding Analsys


Lidocaine hydrochloride while Breastfeeding

Safe

CAS Number: 137-58-6

Compatible with breastfeeding no matter the multiple ways it can be used: anesthetic, anti-arrhythmic, or anti-epileptic drug. Excreted into breast milk in non-significant amount with no side effects on breastfed infants from treated mothers. As a topical anesthetic (dermatologic, dental-stomatologic, ophtalmotologic and otologic preparations) it has an almost nil systemic absorption. Avoid using it on the nipple, but if necessary do it after the breast feed, wipe it out and rinse with water before the next feed, An euptectic mixture with added Prilocaine (EMLA) is used for dermatologic anesthesia. There is an increased risk of Methemoglobinemia when applied on large surfaces or taken by mouth. Intrapartum anesthesia may delay the onset of phase II of Lactogenesis or milk coming-in. The American Academy of Pediatrics rates it usually compatible with Breastfeeding.

Epinephrine while Breastfeeding

Safe

CAS Number: 51-43-4

Used as a systemic drug for cardiac resuscitation and locally in topical anesthetic preparations, epidural anesthesia, eye drops (mydriatic), and nasal drops (vasoconstrictor). At last update no published data on excretion in breast milk were found.Its rapid metabolism (short Tmax and T½) makes it unlikely an excretion into milk in significant amounts. It is destroyed in the gastrointestinal tract. The low oral-bioavailability makes its levels into infant's plasma, that would be absorbed from ingested breast milk, be nil or negligible. Maintained high intravenous doses decrease milk production by interfering with the secretion of prolactin especially the early postpartum-weeks, because when breastfeeding is well established, prolactin levels do not correlate with milk production any longer. No problems related to lactation have been observed due to epidural anesthesia in which adrenaline is used.


Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection Breastfeeding Analsys - 2


Lidocaine hydrochloride while Breastfeeding

CAS Number: 137-58-6

Lidocaine concentrations in milk during continuous IV infusion, epidural administration and in high doses as a local anesthetic are low and the lidocaine is poorly absorbed by the infant. Lidocaine is not expected to cause any adverse effects in breastfed infants. No special precautions are required.[1][2][3] Lidocaine labor and delivery with other anesthetics and analgesics has been reported by some to interfere with breastfeeding. However, this assessment is controversial and complex because of the many different combinations of drugs, dosages and patient populations studied as well as the variety of techniques used and deficient design of many of the studies. Overall it appears that with good breastfeeding support epidural lidocaine with or without fentanyl or one of its derivatives has little or no adverse effect on breastfeeding success.[4][5][6][7][8] Labor pain medication may delay the onset of lactation.

Epinephrine while Breastfeeding

CAS Number: 51-43-4

No information is available on the use of epinephrine during breastfeeding. Because of its poor oral bioavailability and short half-life, any epinephrine in milk is unlikely to affect the infant. High intravenous doses of epinephrine might reduce milk production or milk letdown. Low-dose intramuscular (such as Epi-Pen), epidural, topical, inhaled or ophthalmic epinephrine are unlikely to interfere with breastfeeding. To substantially diminish the effect of the drug after using eye drops, place pressure over the tear duct by the corner of the eye for 1 minute or more, then remove the excess solution with an absorbent tissue.



I already used Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection and meanwhile I breastfed my baby should I be concerned?

As usage of Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection is mostly safe while breastfeeding hence there should not be any concern. In case of any change in behavior or health of your baby you should inform your health care provider about usage of Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection else no further action is required.


My doctor has prescribed me Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection, what should I do?

Usage of Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection is safe for nursing mothers and baby, No worries.


If I am using Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection, will my baby need extra monitoring?

No


Who can I talk to if I have questions about usage of Octocaine 50 | Lidocaine Hydrochloride And Epinephrine Bitartrate Injection in breastfeeding?

US
National Womens Health and Breastfeeding Helpline: 800-994-9662 (TDD 888-220-5446) 9 a.m. and 6 p.m. ET, Monday through Friday

UK
National Breastfeeding Helpline: 0300-100-0212 9.30am to 9.30pm, daily
Association of Breastfeeding Mothers: 0300-330-5453
La Leche League: 0345-120-2918
The Breastfeeding Network supporter line in Bengali and Sylheti: 0300-456-2421
National Childbirth Trust (NCT): 0300-330-0700

Australia
National Breastfeeding Helpline: 1800-686-268 24 hours a day, 7 days a week

Canada
Telehealth Ontario for breastfeeding: 1-866-797-0000 24 hours a day, 7 days a week

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